MEDICARE: VIDHYA RAMACHANDRAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	35087870	OH

General Provider Information

NPI Number	:	1285796177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIDHYA RAMACHANDRAN MD

Provider Business Mailing Address
First Line	:	8121 CLIFTON COURT CIRCLE NW
Second Line	:
City	:	MASSILLON
State	:	OH
Zip	:	44646
Country	:	US
Telephone Number	:	330-453-3386
Fax Number	:	330-453-2362

Provider Business Practice Location Address
First Line	:	4900 FRANK RD NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-7483
Country	:	US
Telephone Number	:	330-494-9797
Fax Number	:	330-499-1241

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	04/03/2013

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